The client is on the orthopedic unit following back surgery. He ...

[TFauchery]

The client is on the orthopedic unit following back surgery. He states, I feel like I can't do any-thing anymoreand I won't be able to continue my landscaping business.
 
  This is predominantly an example of a problem in which of the following components of self-concept?
  1. Body image
  2. Self-esteem
  3. Identity
  4. Role

Question 2

A 76-year-old client who recently lost his wife is admitted for surgery. The nurse is using Erikson as a psychosocial framework for client assessment.
 
  Which of the following behaviors would alert the nurse that the client has an alteration in the in-tegrity stage of his psychosocial development?
  1. Accepting his own limitations
  2. Verbalizing fear about the surgery
  3. Expressing his thoughts about his care
  4. Demanding excessive assistance from his daughter

[ghepp]

Answer to Question 1

ANS: 4
A physical health deficit that prevents role assumption can create a problem in the role perfor-mance component of self-concept. A client who is verbalizing concern about continuing a previ-ous occupation is not demonstrating a problem in body image, but rather in the role performance component of self-concept. Self-esteem is closely related to self-concept, but is not a component of self-concept. Identity involves the internal sense of individuality, wholeness, and consistency of a person over time and in various circumstances. The client is verbalizing concern about role performance, not necessarily identity.

Answer to Question 2

ANS: 4
Being angry, being excessively dependent, and having a passive attitude are all behaviors sugges-tive of an altered self-concept. The older client, who has lost a spouse and is now demanding excessive assistance from a child, is demonstrating an alteration in the integrity stage of his psy-chosocial development. Accepting one's limitations is not consistent with a disturbance in the integrity stage of psychosocial development. Verbalizing fear about the surgery is not consistent with a disturbance in the integrity stage of psychosocial development. Expressing thoughts about one's care is not consistent with a disturbance in the integrity stage of psychosocial development.

[TFauchery]

TYSM

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